Uni-centric localization of Castleman's disease treated with laparoscopic and traditional approach. Report of two cases.
Castleman's disease (CD) is a rare lymphoproliferative disorder. Clinically CD has been subdivided in two forms: uni-centric and multicentric. The uni-centric type is limited to a single anatomic lymph-node-bearing region. The present report describes two cases of uni-centric CD: the first was an abdominal localization treated with a laparoscopic approach; the second was a submaxillary localization treated with a classical approach. In case 1 the laparoscopic approach permitted to reach diagnosis, not clear after diagnostic imaging procedures, and enabled a total and excellent resolution of the pathology because our patient, after eight months of follow up, has had no evidence of recurrence of the disease. In case 2 we want to highlight that CD should be considered in the differential diagnosis of a solitary neck mass and that the surgical treatment is diagnostic and curative at the same time.
Tartaglia
F
F
University of Rome La Sapienza, Department of Surgical Sciences, Rome.
Blasi
S
S
Berni
A
A
Sgueglia
M
M
Polichetti
P
P
Maturo
A
A
Palazzini
G
G
Tromba
L
L
Campana
F P
FP
D000005:Abdomen / Q000601:surgery*; D000328:Adult; D005871:Castleman Disease / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D012186:Retroperitoneal Neoplasms / Q000601:surgery; D013363:Submandibular Gland / Q000601:surgery*; D016896:Treatment Outcome